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1285264630
ELLEN ELIZABETH JACQUE
WAVERLY, IA
NPI
1285264630
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Former Name
ELLEN ELIZABETH DAVIS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IA A157621)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
ELLEN ELIZABETH JACQUE ARNP
312 9TH ST SW
WAVERLY, IA 50677-2999
Phone number: 319-352-4120
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Mailing Address
ELLEN ELIZABETH JACQUE ARNP
312 9TH ST SW
WAVERLY, IA 50677-2999
Phone number: 319-352-4120
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